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Treatment of Guillain-Barre syndrome in Germany

Guillain-Barré syndrome is a complex of the sensory, movement, autonomic and vegetative disorders that appear as a result of autoimmune reaction of the body. This pathology has an acute course. An person with Guillain-Barré syndrome can die without urgent hospitalization and emergency care. A person might have the functional disorders after Guillain-Barré syndrome course that can lead to disability.

 

Guillain-Barré syndrome – Diagnostics

Guillain-Barré syndrome is diagnosed on the basis of the neurological examination. Main criteria are:

  • Progressing muscle weakness of two and more limbs
  • Absence of tendon reflexes

Additional criteria for the diagnosis are:

  • Increased muscle weakness
  • Sensory disorders
  • Abnormal asymmetry of the movement disorders
  • Paresis of the facial muscles
  • Presence of the vegetative disorders
  • Absence of fever

Lumbar puncture is performed. Protein concentration in the liquor rises, but no earlier than in a week after the disease onset. Leucocytes concentration in the cerebrospinal fluid rarely exceeds 10/mcl.

Electromyography is one of the main diagnostics techniques. It is based on the registration of electrical activity in skeletal muscles.

MRI doesn’t allow to detect Guillain-Barré syndrome, but assists in performing the differential diagnostic procedures. MRI is applied, if there are some doubts regarding the illness and in the search of other possible reasons of movement, sensory and vegetative disorders.

Auxiliary diagnostics techniques are:

  • Spirometry (the evaluation of the external respiration) is performed to determine the necessity of ALV use.
  • ECG is performed in the case of persistent cardiac arrhythmias. A patient may require a temporary pacemaker implantation.
  • Serological tests are aimed to identify the infections that could become a trigger in the development of Guillain-Barré syndrome.

 

Best clinics for the Guillain-Barré syndrome diagnostics in Germany:

 

University Hospital Rechts der Isar Munich

11056

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Charite University Hospital Berlin

16855

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Guillain-Barré syndrome – Treatment

The conservative treatment and emergency resuscitation are applied in the case of Guillain-Barré syndrome. The rehabilitation is also used to restore the patient after treatment.

Conservative therapy is directed at the following options:

  • Blocking of the autoimmune inflammatory process
  • Maintaining of the patient’s vital functions
  • Elimination or reduction of the main symptoms

Intravenous immunoglobulin G injections or plasmapheresis are used to reduce the manifestations of the autoimmune process. These techniques are indicated if a patient has movement disorders of stage 4 or 5.

Following procedures might be required to support the patient’s vital activities:

  • Artificial lung ventilation is commonly applied for several days or weeks, rarely – for more than a month. If ALV is provided for more than 10 days, than a tracheostomy (a tube is inserted directly into the trachea through an incision in the neck and lets the oxygen to flow through) is required.
  • Implantation of an artificial pacemaker is necessary for treatment of severe brady-arrhythmias, when there is a risk of circulatory failure.
  • Gastrostomy tube placement is required to deal with bulbar disorders when a patient is unable to eat on his own and the food is introduced directly into the stomach.

Symptomatic therapy includes use of the medicines for the intravenous infusion, lowering the blood pressure, and controlling the heart rate frequency. Pain is reduced with painkillers. Bacterial infectious complications are treated with the antibiotics and other medicines, depending on the certain clinical case.

 

Best clinics for the Guillain-Barré syndrome treatment in Germany:

 

University Hospital Rechts der Isar Munich

Diagnosis and conservative treatment of guillain-barre syndrome

11197

Charite University Hospital Berlin

Diagnosis and conservative treatment of guillain-barre syndrome

16546

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Guillain-Barré syndrome – Rehabilitation

After discharging from the hospital a patient needs rehabilitation to restore all the movement functions. In the innovative European hospitals doctors start to use massage, physiotherapy treatment, acupuncture and other rehabilitation measures when the patient is still in the hospital. When patient is discharged, he requires physical therapy, physiotherapy, and health resort treatment. Therapeutic techniques that involve heating of certain parts of the body are contraindicated.

Rehabilitation includes constant medicamentous support. It is necessary to hold a consultation with the patient about lifestyle changes which are important for him in the current situation.

Rehabilitation programs in Germany are designed for 2 weeks. If necessary, they can last much longer. In this country, the patient is provided with qualitative care, accommodation in comfortable rooms and individually selected meals.

Rehabilitation programs in Germany show one of the best results in the world. Most patients successfully restore their working capacity and excellent health there. They remain physically active, return to the full social and family life.

 

Best clinics for neurological rehabilitation in Germany:

 

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Here you can find the cost of treatment for this disease at the German University Hospitals. Leave a request and we will provide a free consultation with a doctor and will start organizing the whole treatment process.

The program includes the following:

  • Issuing of an invitation for getting a visa for treatment as quick as possible
  • Fixing an appointment at a time convenient for you
  • Preliminary organization of a comprehensive examination and discussion of the forthcoming treatment plan
  • Arranging transfer from the airport to the hospital and back to the airport
  • Provision of interpreting services and services of a personal medical coordinator
  • If necessary, assistance in the organization of further surgical treatment
  • Provision of a medical insurance against treatment complications covering up to 200,000 euro
  • Preparation and translation of medical records and recommendations from the hospital
  • Assistance in the subsequent communication with your attending physician, including consultations on repeated X-ray images through the unique medical document management system E-doc



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